Atwater, Richard S

Atwater, Richard S is an individual health care provider with primary practice located at 101 N Virginia St Suite 110, Crystal Lake IL 60014-3426. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Atwater, Richard S can be contacted via phone (815) 459-0499.

Contact Information

Primary practice address
101 N Virginia St Suite 110 Crystal Lake IL 60014-3426
Phone: (815) 459-0499
Fax: (815) 788-0115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1104012731
LBN Legal business name Atwater, Richard S
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104012731 NPPES
Illinois Other 1558478479 EMPLOYERS NPI

Popular Providers